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1619400447
KELLI ANN DAUGHERTY
DECATUR, IL
NPI
1619400447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209.015343)
Enumeration Date
2017-04-08
Last Update Date
2022-07-21
Business Address
KELLI ANN DAUGHERTY CNM, APRN
544 W PERSHING RD STE A
DECATUR, IL 62526
Phone number: 217-872-2400
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Mailing Address
KELLI ANN DAUGHERTY CNM, APRN
544 W PERSHING RD STE A
DECATUR, IL 62526-3226
Phone number: 217-872-2400
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